Answered

A billing and coding specialist is reviewing modifier use with a new employee. Which of the following scenarios warrants the use of a modifier?

A. Fracture of the left femur
B. Splinting of the fourth digit on the left foot
C. Recurrent inguinal hernia
D. Insertion of a contraceptive implant in the right arm



Answer :

GinnyAnswer

Final answer:

Modifiers in medical billing and coding are used to indicate altered services, with examples provided for fracture and hernias.


Explanation:

A modifier in medical billing and coding is a code added to a service to indicate that it has been altered in some way from the original description. Modifiers help provide additional information about the service rendered. In the given scenarios:

  • Fracture of the left femur: The use of a modifier may be necessary if complications or additional circumstances are present during treatment, affecting the billing and coding process.
  • Recurrent inguinal hernia: As this condition indicates a repeated occurrence, a modifier might be needed to distinguish it from a first-time hernia.

Insertion of a contraceptive implant in the right arm would not typically require a modifier unless there are specific circumstances warranting it.


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